Last Updated:  11/23/2020 5:26:46 AM

Facility Detail                       
Corporation / Company Owner Name MARTIN MEDICAL 
Business (DBA) Name   MARTIN MEDICAL 
License Number  16-S-552 
Facility Type Medical Gas Supplier 

144 N MAIN

P.O. BOX 355

City, State, Zip FAIRFAX,OK 74637-0355 
Issue Date  02/20/1996 
Renewed Date 07/06/2000
Expiration Date   
Renewal Month
End Date  07/07/2000 
Status CLOSED 
In Process?

Disciplinary Action
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Case Date   Case Number  
No records 

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